育龄期妇女单纯子宫切除与乳腺增生的相关性研究  

Study on the relation between hysterectomy and mammary gland hyperplasia in women at childbearing age

作　　者：闫莉[1] 张广英[2] 荣风年[1] 

机构地区：[1]山东省千佛山医院妇科,山东济南250014 [2]山东省千佛山医院超声科,山东济南250014

出　　处：《医学影像学杂志》2013年第9期1424-1426,共3页Journal of Medical Imaging

基　　金：山东省医药卫生科技发展计划青年基金资助项目(编号:2009QZ024)

摘　　要：目的应用高频超声研究子宫切除与乳腺增生的相关性。方法选择我院2009年1月～2011年12月行子宫切除术的患者102例，术前通过高频超声检查结合临床将其分为乳腺正常组44例（A组），合并乳腺增生组58例（B组）。选取同期行保留子宫手术的患者，分别设立对照。于术后6个月再次应用高频超声评估乳腺影像学变化并结合临床做出诊断。比较手术前后乳腺增生发生率有无差异；比较手术前后乳腺增生进展情况有无差异。结果子宫切除组术后乳腺增生加重的比率（48．3％）明显高于对照组（10．3％，P〈0．05）；子宫切除组与对照组术后乳腺增生发生率无显著性差异（P〉0．05）。结论子宫切除术不影响乳腺增生的发生率，但可使原有的乳腺增生加重。Objective To investigate the relation between hysterectomy and mammary gland hyperplasia by highfrequen cy color Doppler ultrasonography. Methods The study was made on the patients underwent hysterectomy from January 2009 to September 2011 in this hospital. The patients were divided into two groups according to the breast examination by ultrasonography before operation i. e. , 44 cases of mammary gland hyperplasia in group A and 58 cases of normal mamma ry gland in group B. We chose the operations that the uterus was reserved in the same time as control group. Results The ratio of mammary gland hyperplasia aggravation in hysterectomy group （48. 3%） was greater than the control group （10.3%, P 〈0.05）. But the morbidity of mammary gland hyperplasia was not different between the two groups （ P 〈0.05）. Conclusion Hysterectomy does not affect the morbidity of mammary gland hyperplasia, but can cause its aggrava tion.

关 键 词：子宫切除 乳腺增生 高频超声 

分 类 号：R655.8[医药卫生—外科学]